TYESHIA SHANTELL GREEN

MILWAUKEE, WI
NPI1558594549
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  3050002-031)
Enumeration Date2009-08-25
Last Update Date2009-08-25
Business Address
MRS. TYESHIA SHANTELL GREEN LPN
4918 N 22ND ST
MILWAUKEE, WI 53209-5628
Phone number: 414-213-0501
Mailing Address
MRS. TYESHIA SHANTELL GREEN LPN
4918 N 22ND ST
MILWAUKEE, WI 53209-5628
Phone number: 414-213-0501
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